Bilateral lower limbs swelling as uncommon manifestation of primary congenital lymphoedema: navigating diagnostic and therapeutic challenges in resource-limited Ende, Indonesia

This case report details a newborn in Ende, Indonesia, diagnosed with primary congenital lymphoedema, evidenced by bilateral lower limb swelling. This rare condition is characterised by developmental defects in the lymphatic system, leading to a fluid balance disruption. Diagnosis was primarily clinical, relying on thorough patient history and physical examination, given the limited resources for advanced diagnostic tools. The report emphasises the importance of supportive care, including meticulous skin care and manual lymph drainage, to improve life quality and minimise infection risks. It highlights the diagnostic and management challenges faced in low-resource settings and stresses the need for awareness and early intervention to manage such congenital conditions effectively.